Disclaimer

CMS Price Transparency Requirements for Hospitals in the United States: A single machine-readable digital file containing the following standard charges for all items and services provided by the hospital: gross charges, discounted cash prices, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges. For additional details on this requirement, refer to 45 CFR §180.50. and Display at least 300 'shoppable services' (or as many as the hospital provides if less than 300) that a health care consumer can schedule in advance. Must contain plain language descriptions of the services, group them with ancillary services, and provide the discounted cash prices, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges. For additional details on this requirement, including the use of price estimator tools, refer to 45 CFR §180.60. Or Hospitals can use a patient estimator tool in place of shoppable services. ZeaMed Healthcare Services, LLC or its affiliate parties have collected from hospital websites is to see if the hospitals are compliant with CMS Price Transparency Requirements. The data is extracted from standard charges for items, services, service packages, and shoppable services. As per CMS, the Mandatory data columns/fields to be present in the file are tests/procedure identifiers, tests/procedure Description, Standard Prices, Cash Prices, Insurance Prices, Min and Max Prices with IP, OP differentiation. There could be some errors while extracting, analyzing, and updating the data. Every provider is defining their own column/field names. MR files were available in the following formats CSV, EXCEL, JSON, XML, PDF, DOCX, HTML,Text. MR files had only billing Ids, and when the identifiers are given, they did not code type mapping like CPT, MS-DRG, APR-DRG, APC, HCPCS, NDC, Internal Codes. Most of the providers are not mentioning if the price includes all services. Whatever the hospital websites have reported, that data is displayed here. We are trying to help the consumers, hospitals, and healthcare stakeholders to understand what is in the files. We tried our efforts to show what is in the machine-readable files. The data could also be from old files because some hospitals have not removed the old files from their websites. The data may not be available because some hospitals' websites are not friendly and couldn't find the machine-readable files. In the case of few providers, the file name was given based on the main group name, making it complicated to identify the actual provider to which it belongs. Most providers are using their internal names to identify the services, and it is different across providers. If the providers are not giving unique codes, it's challenging to identify the services. The patient estimator tools are and/, or costs provided via this tool are only estimates as per many hospital websites. The information provided is from the hospital websites only; the users can use their judgment to decide if hospitals are compliant or not. If any hospital has a question about their data and compliance, they can reach out to us and suggest any corrections to the data. We will make corrections to the data after verifying their data. We are not responsible for the data's correctness, and it is for the user to check with the hospitals for the latest information. Also, the hospitals may have updated their data which may not reflect on this website. We are not responsible for any suits filed by anyone against the hospitals, and also, we do not take any responsibility for the information provided by the hospital. We are neutral to all hospitals. We are not responsible for any data discrepancies in visiting the website and checking the data's compliance. The user of the information is responsible for verifying with the concerned hospitals. The term compliance, according to us, is if the hospital has given the Machine-readable file that contains all items, services, service bundles that include gross, cash price, de-identified minimum price, de-identified maximum price. Insurance negotiated prices plus the 300 shoppable services that have discounted cash price (can give gross prices if cash payment is not available), de-identified minimum price, de-identified maximum price, and insurance negotiated price in a machine-readable format or a patient estimator tool on the hospital website. Since many providers have not provided separate prices for outpatients and inpatient, we have considered them applicable to both inpatient and outpatient patients except for DRG's and APRDRG's. The data can still show errors about the inpatient and outpatient services which we are not responsible. We believe human errors and technological errors could also play a role in data discrepancies. ZeaMed Healthcare Services, LLC and Affiliate members, websites, apps, and other technologies and people are not responsible for data errors.